Check-up-Services for Private Customers EPC Product Portfolio for Full Health Check-Ups BASIC PLUS STANDARD Check-Up Check-Up Check-Up Cross-sectional imaging techniques: Duration:
Anthropometry including bioimpedance analysis
calculations of body mass index (BMI), waist and hip circumference [waist-to-hip-ratio (WHR), waist-to-height ratio (WHtR)] as well as body composition (fat, water, biomass).
For nicotine dependency: questionnaire on physical nicotine
dependency as a basis for nicotine withdrawal (Fagerström test)
Standardized WHO questionnaire on well-being as a basis for
Differential (large) blood count including differentiation of white
total cholesterol, HDL/LDL cholesterol and
cholinesterase, bilirubin, lipase, amylase
Renal values: creatinine, urea, uric acid
sodium, potassium, calcium, magnesium, ferritin, phosphate,
Urine status: pH, leukocytes, protein, glucose, ketone, erythrocytes, urobilinogen, nitrite, density, bilirubin
ScheBo® o 2in1 Quick™ test (immunological faecal
BASIC PLUS STANDARD Check-Up Check-Up Check-Up
NMP22® BladderChek® Test (immunological bladder
Lipoprotein-associated phospholipase A2 (Lp-PLA2)
sex hormone-binding globulin (SHBG) with
calculation of androgen index (aging male
Instrumental examination of the organs and blood vessels
Whole body MRI and MRA: Imaging method for visualizing the structure and function of tissues and organs, the bone structure especially degenerative alterations of the spine and also the
vascular system and the especially early, so-called preclinical atherosclerosis which is already important for indication of preventive measures to significantly improve prognosis
Duplex sonography of the carotid arteries incl. age and sex-
adjusted intima-media thickness measurement
Fitness assessment (cardiovascular check)
Ergospirometry with ECG, incl. pulmonary function
Heart rate variability to determine psychosomatic stress levels
Real-time 3D echocardiography (cardiac defect)
Pulse wave analysis, incl. ABI index (ankle-brachial index)
Long-term blood pressure (for hypertension)
Closing discussion, illustration and interpretation of all the
Lifestyle advice tailored to individual findings
Written, easily comprehensible final report with CD-ROM
Supplementary check-up services
Further consultation by medical specialists can be scheduled on the same day or shortly thereafter.
The preventive medicine specialist coordinates the individual examinations by the interdisciplinary team and integrates the individual findings into an appropriate context to obtain an holistic screening result enabling comprehensive lifestyle consultation.
WE ARE GLAD TO PROVIDE YOU WITH DETAILED ADVICE, SO PLEASE FEEL FREE TO CONTACT US! Differences in cross-sectional imaging procedures:
Ultrasound: An ultrasound scan of the abdominal cavity visualizes the liver, gallbladder,
pancreas, spleen, kidneys, prostate, uterus, ovaries, lymph nodes and blood vessels.
Diseases in these structures, such as tumors, cysts or stones, are therefore easily visible.
The ultrasound image will be distorted if an individual is overweight or has not fasted
sufficiently. Air in the body (e.g. in the stomach or intestine) will also impair the image quality.
Magnetic resonance imaging - MRI: Magnetic resonance imaging (MRI) is an excellent
imaging method for visualizing the structures and functions of the tissues and organs in the
body. The quality, and in particular the local resolution, of the images produced by the MRI
equipment are superior to ultrasound scanning. The method does not involve any exposure
to radiation and is not associated with any health risks. MRI scanning of the organs is not
hindered by any of the obstacles and difficulties mentioned above, as is often the case with
ultrasound examinations. Unlike ultrasound, MRI is able to examine the entire anatomy of the
body (including the central nervous system, bone structure and also the vascular system by
using angiographic techniques). The whole body can be scanned by MRI, as opposed to
A total body MRI does not have the capability to effectively evaluate the lungs for cancer (if
indicated low-dose CT being more adequate). In addition, as a screening tool it is not optimal
for the diagnosis of early colon cancer ((if indicated optical or virtual colonography by low-
Multi-slice computed tomography (MSCT) of the heart: If there is a justifiable indication
(from early detection procedures by EC as part of risk stratification), low-dose MSCT of the
coronary arteries is helpful for establishing calcifications, as a sign of atherosclerosis.
Internationally, professional associations have agreed that if the value is above the 75th
percentile (in other words, a value corresponding to the 25% 'worst' sex and age-referenced
values), preventive medication (usually aspirin and so-called statins) is appropriate as a
supplement to intensive lifestyle adjustments. These medications can reduce the relevant
risk of a heart attack by about 30%. In clinically 'demanding' cases, a non-invasive coronary
angiogram will be performed at EC using MSCT, the reliability of which is commensurate
with that of a standard heart catheter examination.
Contact adresses: Telephone: +49 (0)211. 4477 - 3750 / 3751 EPC Düsseldorf:
Medical Center Düsseldorf (Grand Arc)Hans-Günther-Sohl-Straße 8-12D-40235 Düsseldorf
EPC Berlin:
European Prevention CenterSchloß Steglitz, Schloßstraße 34D-12163 Berlin
Medical Director: Prof. Dr. med. Uwe Nixdorff, F.E.S.C.
EL JUICIO CONTRA UNION FENOSA Tribunal Permanente de los Pueblos San Cristóbal de las Casas, Chiapas, México; 23 de Octubre de 2007 El 12 y 13 de Octubre de 2007 el Tribunal Permanente de los Pueblos (TPP) sesionó en tres audiencias en Managua, Nicaragua, en torno al caso de los efectos que genera la privatización de la energía eléctrica, en este caso por la trasnacional español
Psychological adjustment to chronic disease Denise de Ridder, Rinie Geenen, Roeline Kuijer, Henriët van Middendorp Lancet 2008; 372: 246–55 This Review discusses physiological, emotional, behavioural, and cognitive aspects of psychological adjustment to Department of Clinical & Health chronic illness. Reviewing the reports of the past decade, we identify four innovative